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Certificates of Insurance
.CORD CERTIFICATE OF LIABILITY INSURANCE • DATE(MMIDD/YYW) 07/30/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). . PRODUCER CONTACT Patricia Cliff NAME: Southernmost Insurance PHONE (305)296-5052 FAX (305)293-0629 PVC.No.Eat): (A/C,No): 1010 Kennedy Drive E-MAIL pat@southemmostinsurance.com ADDRESS: Suite 300 INSURER(S)AFFORDING COVERAGE NAIC# Key West FL 33040 INSURER A: Darwin Select Insurance Co INSURED INSURER B: Florida Keys Land Surveying,LLC INSURER C PO Box 1547 INSURER D INSURER E: Key West FL 33041 INSURERF: COVERAGES CERTIFICATE NUMBER: CL1973002225 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE NSD WVD POUCY NUMBER /YPOLICY EFF POLICY EXP LIMITS (MMIDDYYY) (MM/DD/YYYI) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ X Professional Liability MED EXP(Any one person) $ A - 03096610D 07/19/2019 07/19/2020 PERSONAL&ADV INJURY $ GEN'L AGGREGATE UMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 POUCY n PROT- I 1 LOC PRODUCTS-COMP/OP AGG $ JEC OTHER: $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ - (Ea accident) ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED BY RIB BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED _ T PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY BY (Per accident) r , nI ) $ UMBRELLA LIAR ^OCCUR DATE-___. .I/)-_/� � I {OCCURRENCE $ EXCESS UAB CLAIMS-MADE WAIVER�u�Z AGGREGATE $ DED RETENTION$ V�1'1 rtir1.-Yt- $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ dyes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County,BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 I �GgYu' / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r 2 SOUTHERNMOST INS AGY PROGRESSIVE® COMMERC/AL 1010 KENNEDY DR#300 KEY WEST,FL 33040 1-305-296-5052 Policy number: 03214398-5 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY July 30,2019 Page 1 of 2 Certificate of Insurance Certificate Holder / Additional Insured �/ MONROE CNTY BOCC 1100 SIMONTON KEY WEST,FL 33040 Insured Agent ERIC ISAACS SOUTHERNMOST INS AGY PO BOX 1547 1010 KENNEDY DR#300 KEY WEST,FL 33041 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms,exclusions, limitations, endorsements,and conditions of these policies. Policy Effective Date: Jul 5,2019 Policy Expiration Date: Jul 5,2020 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT UNINSURED MOTORIST $1,000,000 CSL STACKED PERSONAL INJURY PROTECTION $10,000 W/$0 DED-NAMED INSURED ONLY ANY AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of LocationNehicles/Special Items Scheduled autos only 2016 CHEVROLET COLORADO 1GCHSBEA4G1274512 COMPREHENSIVE $1,000 DED 2017 CHEVROLET SILVERADO C1500 1 GCRCNEC9HZ266090 COMPREHENSIVE $1,000 DED 2018 TOYOTA TACOMA 3TMEZ5CN81M056492 COMPREHENSIVE $1,000 DED AYP 0 WENT WCI AIVER N/A �. Continued Policy number: 03214398-5 Page 2 of 2 Certificate number 21119NET398 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241(10/02) � 1 ® (MM/DD A� DATE /YWY) 2(MMIDDY® CERTIFICATE OF LIABILITY INSURANCE 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OFj INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONT PRODUCER Libertate Insurance Services, LLC NAMEACT Libertate Insurance Services,LLC 707 East Washington Street PHONE Ext): 4076135475 FAX No): 4076135477 Orlando, FL 32801 E-MAIL ADDRESS: info@libertateins.com INSURER(S)AFFORDING COVERAGE NAIC# www.libertateins.com INSURER A: Imperium Insurance Company 35408 INSURED INSURER B: Stafflink Outsourcing, II, III, IV,V&VI Inc. 1776 N. Pine Island Road, Suite 108 INSURERC: Plantation FL 33322 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 47230822 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE RENTED $ CLAIMS-MADE OCCUR PREMISESO(Ea occurrence) • $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY (Per accident) $ UMBRELLA LIAR _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION IAUS0000950903 3/1/2019 3/1/2020 STATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1.000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage provided in all states,except in monopolistic states,for all leased employees but not subcontractors of:Florida Keys Land Surveying,LLC Client ID#4146 Effective 08/28/2017 APPRO I �� N Ef+fIENf BY WAIVER N/ S� •�� CERTIFICATE HOLDER CANCELLATION 4146 Monroe CountyBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street Rm 2-216 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Paul R.Hughes ©1988-2015 ACORD CORPORATION. All rights reserved. • ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 47230822 1 STAFOUT-04 1 19-20 HIIG Master w/Blanket WOS 1 Reni Snider 1 2/26/2019 12:31:52 PM (EST) 1 Page 1 of 1 (MMIDDNYY ACCORD, CERTIFICATE OF LIABILITY INSURANCE DAT2/26/2019 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTPRODUCER Libertate Insurance Services, LLC NAME: Libertate Insurance Services,LLC 707 East Washington Street PHONNo.'Eat): 4076135475 (AA,No): 4076135477 Orlando, FL 32801 E-MAIL ADDRESS: info O,libertateins.com INSURER(S)AFFORDING COVERAGE NAIC# www.libertateins.com INSURER A: Imperium Insurance Company 35408 INSURED INSURER B: Stafflink Outsourcing, II, III, IV,V&VI Inc. 1776 N. Pine Island Road, Suite 108 INSURERC: Plantation FL 33322 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 47230822 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE RENTD CLAIMS-MADE OCCUR PREMISESO(a occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ . POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AppR0 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS BY GEMENT PROPERTY DAMAGE HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY DATE _ G1 (Per accident) _ W`AAIVE N/A I V _///��t 1 $ UMBRELLA LIAB OCCUR QV ,J r�� ys_ EACH OCCURRENCE $ EXCESS LIAB i CLAIMS-MADE W AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION IAUS0000950903 3/1/2019 3/1/2020 i STATUTE OTH - ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage provided in all states,except in monopolistic states,for all leased employees but not subcontractors of:Florida Keys Land Surveying,LLC Client ID#4146 Effective 08/28/2017 CERTIFICATE HOLDER CANCELLATION 4146 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street Rm 2-216 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVES-',_ -4111114r I Paul R.Hughes ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 47230822 1 STAFOUT-04 119-20 HIIG Master w/Blanket WOS 1 Reni Snider 1 2/26/2019 12:31:52 PM (EST) 1 Page 1 of 1 t i AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/07/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patricia Cliff NAME: Southernmost Insurance PHONE (305)296-5052 FAX (305)293-0629 (A/C,No.Ext): (A/C,No): 1010 Kennedy Drive E-MAIL ADDRESS: pat@southernmostinsurance.com Suite 300 INSURER(S)AFFORDING COVERAGE NAIC# Key West FL 33040 INSURER A: Covington Specialty Insurance Co INSURED INSURER B: Florida Keys Land Surveying,LLC INSURER C: PO Box 1547 INSURER D: INSURER E: _ Key West FL 33041 INsuRER F: COVERAGES CERTIFICATE UMBER: CL191702064 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDCSUBRF POLICY EFF POLICY EXP LTR TYPE OF INSURANCE .INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ X Contractual Liability MED EXP(Any one person) $ 5,000 A Y VBA66583500 POL 01/03/2019 01/03/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: - _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ 4 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION i PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE n E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) APP ED IS EMENi BY OAl. WAI R / ES,� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • 1 ® DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE Lam. 01/07/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patricia Cliff NAME: Southernmost Insurance PHONE (305)296-5052 FAX (305)293-0629-- (A/C,No,Ext): (A/C,No): 1010 Kennedy Drive AIL ADDRESS: pat@southernmostinsurance.com Suite 300 INSURER(S)AFFORDING COVERAGE NAIC# Key West FL 33040 INSURER A: Covington Specialty Insurance Co INSURED INSURER B: Florida Keys Land Surveying,LLC INSURER C: PO Box 1547 INSURER D: INSURER E: Key West FL 33041 INSURER F: COVERAGES, CERTIFICATE NUMBER: CL191702064 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUUL SUBH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE I O RtN I-ED 100,000 _ CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ X Contractual Liability MED EXP(Any one person) $ 5,000 A Y VBA66583500 POL 01/03/2019 01/03/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE ' AUTOS ONLY AUTOS ONLY (Per accident) _ $ i UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE 7 AGGREGATE $ DED RETENTION$ A0101. RO Y RIS AANAGEMENT $ WORKERS COMPENSATION ' PER OTH- AND EMPLOYERS'LIABILITY Y/N B \YJ ��„ STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A G a l E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? l (Mandatory in NH) DATE--- - -.r (, E.L.DISEASE-EA EMPLOYEE $ If DESs,RIPTIONOFer WAIL P4/.1 y, Y DESCRIPTION OF OPERATIONS below 19� E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 e . —— I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ® Ac"R CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01 /04/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patricia Cliff NAME: Southernmost Insurance A/CNNo Ex[): (305)296-5052 FAAX No : (305)293-0629 1010 Kennedy Drive AIL ADDRESS: Pat@southernmostinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # Suite 300 Key West FL 33040 INSURER A: Covington Specialty Insurance Co INSURED INSURER B : Florida Keys Land Surveying, LLC INSURER C : PO BOX 1547 INSURER D : INSURER E: Key West FL 33041 INSURER F: COVERAGES CERTIFICATE NUMBER: CL181401736 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEAUULISUUKI INSD WVD POLICYNUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DD/YYYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000 X MED EXP (Any oneperson) $ 5,000 Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 A Y VBA58798600 01/03/2018 01/03/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PE� LOG PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT $ ANY PRO PRIETOR/PARTNER/EXECUTIVE N A OFFICER/MEMBER EXCLUDED? ❑ / E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) PRO D M . EMENT WAIVER _ YS_ CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County, BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Gp ��ur�rNtf, DATE (MM /DD/YYYY) ACOREP ® CERTIFICATE OF LIABILITY INSURANCE 02/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: FAX Automatic Data Processing Insurance Agency, Inc. (A/C, PHONE Est): (A/C, No): 1 Adp Boulevard ADDR Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Travelers Indemnity Company of America 25666 INSURED INSURER B FLORIDA KEYS LAND SURVEYING LLC 24760 PARK DR INSURER C Summerland Key, FL 33042 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 625765 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ POLICY JECT LOC PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1 DED RETENTION $ $ WORKERS COMPENSATION x PER OTH AND EMPLOYERS' LIABILITY STATUTE ER A OFFICER/MEM ER ELUD PROPRIETOR/PARTNER/EXECUTIVE Y N N N/A N UB8G24655817 02/08/2017 02/08/2018 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under ,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spac- - required) MAIM N? I . VE GEMENT pA W • N/A _I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Ann Mytnik ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Rm 2 -216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 l A©1988 - 2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD